(1 point). Listen.
A patient has orthostatic hypotension.
Which activity will require close observation by the nurse? When the patient:.
Sleeps.
Exercises.
Sits down.
Stands up.
The Correct Answer is B
Choice A rationale:
Sleeping is not a significant factor in orthostatic hypotension. When a patient is sleeping, they are typically lying down, and orthostatic hypotension is related to changes in posture, not during sleep.
Choice B rationale:
Exercising can exacerbate orthostatic hypotension because it increases the demand on the cardiovascular system. When a patient exercises, their heart rate and blood pressure can increase significantly. In the case of orthostatic hypotension, there's a risk of a more pronounced drop in blood pressure when transitioning to an upright position after exercise. Therefore, exercising requires close observation in these patients.
Choice C rationale:
Sitting down is a relatively stable position, and orthostatic hypotension primarily involves changes from a sitting or lying position to a standing position. Sitting down doesn't typically worsen orthostatic hypotension.
Choice D rationale:
Standing up is a crucial moment when dealing with orthostatic hypotension. When a patient with orthostatic hypotension stands up, there is a risk of a significant drop in blood pressure, which can lead to symptoms like dizziness or fainting. This is why standing up requires close observation. Now, let's move on to the next question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Serous fluid is not typically associated with pericardial effusion in acute pericarditis. Pericardial effusion is more likely to contain blood or inflammatory exudate, especially in the context of pericarditis.
Choice B rationale:
Exudate is often found in pericardial effusion associated with acute pericarditis. This inflammatory response can lead to the accumulation of exudative fluid in the pericardial space.
Choice C rationale:
This is the correct answer. Serosanguineous fluid is often associated with pericardial effusion in the context of acute pericarditis. It contains a mixture of serous fluid (clear, yellowish) and blood, reflecting the inflammatory nature of the condition.
Choice D rationale:
Sanguineous fluid, while it may be present in some cases, is not the most typical fluid associated with pericardial effusion in acute pericarditis. Sanguineous fluid is characterized by a higher proportion of blood and is more commonly seen in traumatic or hemorrhagic effusions.
Correct Answer is D
Explanation
Choice A rationale:
Elevated levels of LDL (Low-Density Lipoprotein) are associated with hyperlipidemia, which can contribute to the development of primary hypertension. However, secondary hypertension, as described in the question, is characterized by elevated blood pressure due to underlying medical conditions, not solely by high LDL levels. Primary hypertension is more commonly associated with elevated LDL levels.
Choice B rationale:
High sodium intake can contribute to primary hypertension by increasing blood volume and causing vasoconstriction. This is a risk factor for primary hypertension, but secondary hypertension, as indicated in the question, is typically caused by underlying diseases rather than high sodium intake alone.
Choice C rationale:
Genetics can play a role in the development of both primary and secondary hypertension. While genetic factors can contribute to primary hypertension, it is more likely that secondary hypertension is the result of an underlying disease or condition. Therefore, genetics alone are not the primary cause of secondary hypertension.
Choice D rationale:
The correct choice. Secondary hypertension is characterized by elevated blood pressure that is a result of an underlying medical condition or disease, such as renal disease, endocrine disorders, or certain medications. Identifying and treating the underlying cause is essential in managing secondary hypertension, making this the most appropriate choice.
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